Application of Nurses' Clinical Authority at Hospital X Jakarta

Abstract

Clinical nurses ought to exercise their clinical authority in accordance with the provisions outlined in the Clinical Assignment Letter and Details of Clinical Authority, as well as complete the credentialing process. However, this implementation has not been fully utilized or communicated to staff at Hospital. The aim of this research is to identify the mechanism for implementing clinical authority for PK I-III nurses upon receiving SPK in the inpatient room at Hospital X Jakarta. The research design utilizes the qualitative approach of hermeneutic phenomenology, and data collection is carried out through in-depth interviews. A total of 17 participants are involved, including 14 clinical nurses (PK I: 6, PK II: 6, PK III: 2), as well as 3 managerial nurses (2 heads of inpatient units and 1 inpatient coordinator). The thematic data analysis follows the Colaizzi method, and 3 themes emerge from the research findings: the application of clinical authority for PK I-III nurses, the availability of management elements in the application of clinical authority for PK I-III, and the lack of optimal management functions in the application of PK. The application of clinical authority in this research encompasses independent and collaborative actions, and it is essential to strengthen regulations, resocialize, and implement an electronic system to facilitate processes. To ensure that nurses work according to their qualification level, hospitals should reinforce regulations and supervision, provide support and commitment, and resocialize SPO, SPK, and RKK.

References

1. Abdellah, F. G. (1970). OVERVIEW OF NURSING RESEARCH 1955-1968, PART I. Nursing Research, 19(1), 6–17. https://journals.lww.com/nursingresearchonline/citation/1970/01000/Overview_of_Nursing_Research_1955_1968,_Part_I.2.aspx
2. Agustinus, B. (2019). Penelitian kualitatif: Studi multi-disiplin keilmuan dengan NVivo 12 plus. Mitra Wacana Media. https://lib.ui.ac.id/detail?id=20498825&lokasi=lokal
3. Benner, P. (1984). From novice to expert. Menlo Park, 84(1480), 10–1097.
4. Dayan, R., Heisig, P., & Matos, F. (2017). Knowledge management as a factor for the formulation and implementation of organization strategy. Journal of Knowledge Management, 21(2), 308–329. https://doi.org/10.1108/JKM-02-2016-0068
5. Hancock, B., & Meadows, M. T. (Mt). (2020). The Nurse Manager and Professional Governance: Nurse Leader, 18(3), 265–268. https://doi.org/10.1016/j.mnl.2020.03.014
6. Hariyati, R., Sutoto, S., & Irawati, D. (2018). Kredensial & rekredensial keperawatan. Komisi Akreditasi Rumah Saki. https://scholar.ui.ac.id/en/publications/kredensial-amp-rekredensial-keperawatan
7. Hasan Wahid, S., Kususiyanah, A., William Yohanes, S., & Umbar, K. (2023). Analisis Data Kualitatif Menggunakan N-Vivo. Publica Indonesia Utama. https://publicabooks.ascarya.or.id/index.php/publica/catalog/book/37
8. Holm, A. L., & Severinsson, E. (2010). The role of the mental health nursing leadership: Emotional intelligence. Journal of Nursing Management, 18(4), 463–471. https://doi.org/10.1111/j.1365-2834.2010.01089.x
9. Huber, D., & Joseph, M. L. (Eds.). (2022). Leadership and nursing care management (Seventh edition). Elsevier. https://shop.elsevier.com/books/leadership-and-nursing-care-management/joseph/978-0-323-69711-8
10. Keliobas, A. A., Handiyani, H., Afriani, T., & Suryani, C. T. (2021). Kesesuaian Kompetensi dan Area Kerja Perawat Rawat Jalan. Journal of Telenursing (JOTING), 3(2), 699–710. https://doi.org/10.31539/joting.v3i2.2992
11. Leonard, M. (2004). The human factor: The critical importance of effective teamwork and communication in providing safe care. Quality and Safety in Health Care, 13(suppl_1), i85–i90. https://doi.org/10.1136/qshc.2004.010033
12. Marquis, B. L., & Huston, C. J. (2009). Leadership roles and management functions in nursing: Theory and application (6th ed). Wolters Kluwer Health/Lippincott Williams & Wilkins. https://books.google.co.id/books/about/Leadership_Roles_and_Management_Function.html?id=38mzZLwcOe0C&redir_esc=y
13. Marwiati, M. (2018). DESKRIPSI IMPLEMENTASI KOMPETENSI PERAWAT SESUAI CLINICAL APPOINTMENT DI RSUD KRT SETJONEGORO WONOSOBO. Jurnal Penelitian Dan Pengabdian Kepada Masyarakat UNSIQ, 5(3), 314–326. https://doi.org/10.32699/ppkm.v5i3.478
14. Nursalam, N. (2014). Manajemen Keperawatan" Aplikasi dalam Praktik Keperawatan Profesional. Salemba Medika. http://repository.stikesrspadgs.ac.id/377/1/0%20BUKU%20MANAJEMEN-MAK%20165%20197.pdf
15. Pertiwi, B., Hariyati, R. T. S., & Anisah, S. (2018). SWOT Analysis of Nursing Clinic Professional Career Ladder System (SJKP2K) in Military Hospital Jakarta. International Journal of Nursing and Health Services (IJNHS), 1(1), 60–67. https://doi.org/10.35654/ijnhs.v1i1.11
16. Saputro, A. I. A., & Ardani, M. H. (2018). Gambaran pelaksanaan praktik keperawatan profesional perawat klinik berdasarkan kewenangan klinis di instalasi gawat darurat [Thesis, Dipongoro University]. http://eprints.undip.ac.id/63249/
17. Sugito, Luky Dwiantoro, Anggorowati, Muhammad Hasib Ardani, & Madya Sulisno. (2023). Implementation of Nursing Credentials and Recredentials by the Credentials Subcommittee at X Distric Hospital. Jurnal Berita Ilmu Keperawatan, 16(1), 53–67. https://doi.org/10.23917/bik.v16i1.1375
18. Ulfa, H. M. (2018). Analisis Unsur Manajemen dalam Pengolahan Rekam Medis di Rumah Sakit TNI AU Lanud Roesmin Nurjadin. KESMARS: Jurnal Kesehatan Masyarakat, Manajemen Dan Administrasi Rumah Sakit, 1(1), 20–25. https://doi.org/10.31539/kesmars.v1i1.146
19. Van Diggele, C., Burgess, A., Roberts, C., & Mellis, C. (2020). Leadership in healthcare education. BMC Medical Education, 20(S2), 456. https://doi.org/10.1186/s12909-020-02288-x
20. Vasylenko, N., Radysh, Y., Communal Institution of Higher Education “Vinnytsia Academy of Continuing Education,” Kukharchuk, P., & Communal Institution of Higher Education “Vinnytsia Academy of Continuing Education.” (2022). METHODS OF ASSESSING THE EFFICIENCY OF MANAGEMENT OF A SUCCESSFUL ORGANIZATION: INGREDIENTS OF SUCCESS. Electronic Scientific Publication “Public Administration and National Security,” 5(27). https://doi.org/10.25313/2617-572X-2022-5-8189
21. Warshawsky, N. E., Cramer, E., Grandfield, E. M., & Schlotzhauer, A. E. (2022). The influence of nurse manager competency on practice environment, missed nursing care, and patient care quality: A cross‐sectional study of nurse managers in U.S. hospitals. Journal of Nursing Management, 30(6), 1981–1989. https://doi.org/10.1111/jonm.13649

License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 Masri Desy Suzanna Lumban Tobing, Emiliana Tarigan, Indriati Kusumaningsih

Indexing & Citations